<?php echo $header; ?>



		  <!-- Start - Left Side -->
	      <div id="left" class="span-24 ">
	      	<div id="account_edit" class="span-24 checkout">
	    		<div class="heading_x span-24">
					<span><?php echo $heading_title; ?></span>
					<hr />
				</div>&nbsp;
	    			<?php if ($error_warning) { ?>
			   			<div class="warning"><?php echo $error_warning; ?></div>
			    	<?php } ?>
			    	
			    <form action="<?php echo str_replace('&', '&amp;', $action); ?>" method="post" enctype="multipart/form-data" id="edit">
			    	
			    	<TABLE class="register_form" width=100% border="1" >
		      			<tr>
			      			<td class="bg"  width="1%"></td>
			      			<td class="bg tb_label"   width="25%">
		      				</td>
			      			<td class="tb_input"></td>
		      			</tr>
		      			<tr>
			      			<td class="bg"  width="1%">&nbsp;</td>
			      			<td class="bg tb_label"   width="25%">
			      				<img src="./catalog/view/theme/galib/image/require.png" /> <?php echo $entry_user_id; ?>
		      				</td>
			      			<td class="tb_input"><span class="user_id_edit" style="font-size:0.7em;"><?php echo $user_id; ?></span></td>
		      			</tr>
		      			
		      			
		      			
		      			<tr>
			      			<td class="bg"  width="1%">&nbsp;</td>
			      			<td class="bg tb_label"   width="25%">
			      				<img src="./catalog/view/theme/galib/image/require.png" />
		      			<img src="./catalog/view/theme/galib/image/label_name.png" />
		      				</td>
			      			<td class="tb_input"><input type="text" name="firstname" value="<?php echo $firstname; ?>" />
			              <?php if ($error_firstname) { ?>
			              <span class="error"><?php echo $error_firstname; ?></span>
			              <?php } ?></td>
		      			</tr>
		      			
		      			
		      			
		      			<tr>
			      			<td class="bg"  width="1%">&nbsp;</td>
			      			<td class="bg tb_label"   width="25%">
			      				<img src="./catalog/view/theme/galib/image/require.png" />
		      					<img src="./catalog/view/theme/galib/image/label_lastname.png" />
		      				</td>
			      			<td class="tb_input"><input type="text" name="lastname" value="<?php echo $lastname; ?>" />
			              <?php if ($error_lastname) { ?>
			              <span class="error"><?php echo $error_lastname; ?></span>
						  <?php } ?></td>
		      			</tr>
		      			
		      			
		      			
		      			
		      			<tr>
		      			<td class="bg"  width="1%">&nbsp;</td>
		      			<td class="bg tb_label"   width="20%">
		      				<img src="./catalog/view/theme/galib/image/require.png" />
		      				<img src="./catalog/view/theme/galib/image/label_idc.png" />
	      				</td>
		      			<td class="tb_input"><input type="text" name="thai_id" value="<?php echo $thai_id; ?>" />
		      				<span class="required protect"><img src="./catalog/view/theme/galib/image/protect.png" /></span>
                    <?php if ($error_thai_id) { ?>
                    <span class="error"><?php echo $error_thai_id; ?></span>
              <?php } ?></td>
	      		</tr>
		      			<tr>
			      			<td class="bg"  width="1%">&nbsp;</td>
			      			<td class="bg tb_label"   width="25%">
			      				<img src="./catalog/view/theme/galib/image/require.png" /> <?php echo $entry_email; ?>
		      				</td>
			      			<td class="tb_input"><input type="text" name="email" value="<?php echo $email; ?>" />
			              <?php if ($error_email) { ?>
			              <span class="error"><?php echo $error_email; ?></span>
			              <?php } ?></td>
		      			</tr>
		      			<tr>
			      			<td class="bg"  width="1%">&nbsp;</td>
			      			<td class="bg tb_label"   width="25%">
			      				<img src="./catalog/view/theme/galib/image/require.png" /> <?php echo $entry_telephone; ?>
		      				</td>
			      			<td class="tb_input"><input type="text" name="telephone" value="<?php echo $telephone; ?>" />
			              <?php if ($error_telephone) { ?>
			              <span class="error"><?php echo $error_telephone; ?></span>
			              <?php } ?></td>
		      			</tr>
		      			
		      			<tr>
			      			<td class="bg"  width="1%">&nbsp;</td>
			      			<td class="bg tb_label"   width="25%">
			      				<img src="./catalog/view/theme/galib/image/hphone.png" />
		      				<?php echo $entry_fax; ?>
		      				</td>
			      			<td class="tb_input"><input type="text" name="fax" value="<?php echo $fax; ?>" /></td>
		      			</tr>
		      			
		      			<tr>
			      			<td class="bg"  width="1%">&nbsp;</td>
			      			<td class="bg tb_label"   width="25%">
			      				<?php echo $entry_birthday; ?>
		      				</td>
			      			<td class="tb_input birthday cufon">
		      				<input type="text" name="birth_day" class="form_birth" value="<?php echo $birth_day; ?>" /><?php echo $entry_birth_day; ?>
		      				 <input type="text" name="birth_month" class="form_birth" value="<?php echo $birth_month; ?>" /><?php echo $entry_birth_month; ?>
		      				 <input type="text" name="birth_year" class="form_birth" value="<?php echo $birth_year; ?>" /><?php echo $entry_birth_year; ?>
		      				 <span class="required"><?php echo $event; ?></span>
			 			 </td>	 
		      			</tr>
		      			
		      			<tr>
			      			<td class="bg"  width="1%">&nbsp;</td>
			      			<td class="bg tb_label"   width="25%">
			      				<?php echo $entry_facebook; ?>
		      				</td>
			      			<td class="tb_input cufon"><input type="text" name="facebook" value="<?php echo $facebook; ?>" />
			 			 	<span class="required"><?php echo $event; ?></span>
		      			</td>
		      			</tr>
		      			
		      			
	      			</table>
				  
			      <!-- not used field -->
				  <input type="hidden" name="ext" value=""/>
				  <input type="hidden" name="gender" value="0"/>
				  <input type="hidden" name="user_id" value="<?php echo $user_id; ?>"/>
				  <br/>
				  <!-- /not used field -->
			      <div class="buttons">
			      	<div class="galib_btn1">
            			<a onclick="location = '<?php echo str_replace('&', '&amp;', $back); ?>'"><?php echo $button_back; ?></a>
            		</div>
            		<div class="galib_btn1" style="float:right;">
            			<a onclick="$('#edit').submit();"><?php echo $button_continue; ?></a>
            		</div>
			        
			      </div>
			    </form>
  			</div> 
	      </div>
       	 <!-- End - Left Side -->
       	 
       	 


<?php echo $footer; ?> 


